JOURNAL DESCRIPTION
The Medical Radiology and Radiation Safety journal ISSN 1024-6177 was founded in January 1956 (before December 30, 1993 it was entitled Medical Radiology, ISSN 0025-8334). In 2018, the journal received Online ISSN: 2618-9615 and was registered as an electronic online publication in Roskomnadzor on March 29, 2018. It publishes original research articles which cover questions of radiobiology, radiation medicine, radiation safety, radiation therapy, nuclear medicine and scientific reviews. In general the journal has more than 30 headings and it is of interest for specialists working in thefields of medicine¸ radiation biology, epidemiology, medical physics and technology. Since July 01, 2008 the journal has been published by State Research Center - Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency. The founder from 1956 to the present time is the Ministry of Health of the Russian Federation, and from 2008 to the present time is the Federal Medical Biological Agency.
Members of the editorial board are scientists specializing in the field of radiation biology and medicine, radiation protection, radiation epidemiology, radiation oncology, radiation diagnostics and therapy, nuclear medicine and medical physics. The editorial board consists of academicians (members of the Russian Academy of Science (RAS)), the full member of Academy of Medical Sciences of the Republic of Armenia, corresponding members of the RAS, Doctors of Medicine, professor, candidates and doctors of biological, physical mathematics and engineering sciences. The editorial board is constantly replenished by experts who work in the CIS and foreign countries.
Six issues of the journal are published per year, the volume is 13.5 conventional printed sheets, 88 printer’s sheets, 1.000 copies. The journal has an identical full-text electronic version, which, simultaneously with the printed version and color drawings, is posted on the sites of the Scientific Electronic Library (SEL) and the journal's website. The journal is distributed through the Rospechat Agency under the contract № 7407 of June 16, 2006, through individual buyers and commercial structures. The publication of articles is free.
The journal is included in the List of Russian Reviewed Scientific Journals of the Higher Attestation Commission. Since 2008 the journal has been available on the Internet and indexed in the RISC database which is placed on Web of Science. Since February 2nd, 2018, the journal "Medical Radiology and Radiation Safety" has been indexed in the SCOPUS abstract and citation database.
Brief electronic versions of the Journal have been publicly available since 2005 on the website of the Medical Radiology and Radiation Safety Journal: http://www.medradiol.ru. Since 2011, all issues of the journal as a whole are publicly available, and since 2016 - full-text versions of scientific articles. Since 2005, subscribers can purchase full versions of other articles of any issue only through the National Electronic Library. The editor of the Medical Radiology and Radiation Safety Journal in accordance with the National Electronic Library agreement has been providing the Library with all its production since 2005 until now.
The main working language of the journal is Russian, an additional language is English, which is used to write titles of articles, information about authors, annotations, key words, a list of literature.
Since 2017 the journal Medical Radiology and Radiation Safety has switched to digital identification of publications, assigning to each article the identifier of the digital object (DOI), which greatly accelerated the search for the location of the article on the Internet. In future it is planned to publish the English-language version of the journal Medical Radiology and Radiation Safety for its development. In order to obtain information about the publication activity of the journal in March 2015, a counter of readers' references to the materials posted on the site from 2005 to the present which is placed on the journal's website. During 2015 - 2016 years on average there were no more than 100-170 handlings per day. Publication of a number of articles, as well as electronic versions of profile monographs and collections in the public domain, dramatically increased the number of handlings to the journal's website to 500 - 800 per day, and the total number of visits to the site at the end of 2017 was more than 230.000.
The two-year impact factor of RISC, according to data for 2017, was 0.439, taking into account citation from all sources - 0.570, and the five-year impact factor of RISC - 0.352.
Medical Radiology and Radiation Safety. 2024. Vol. 69. № 6
DOI:10.33266/1024-6177-2024-69-6-33-37
A.V. Aksenenko, A.S. Samoilov, O.V. Parinov, A.Yu. Bushmanov, I.A. Galstyan,
A.A. Zavialov, G.E. Zimnikov, S.G. Kolyadin, Yu.G. Trofimenko, N.G. Stepanyanc,
G.A. Baksiyan, D.N. Astahov, M.Sh. Zugumova
Treatment and Rehabilitation of Professional Local Radiation Injury of the Hand, Using the Method of Transplanting the Toe to the Hand
A.I. Burnazyan Federal Medical Biophysical Center, Moscow, Russia
Abstract
Purpose: To introduce a wide range of specialists with the technique of reconstructive plastic surgery, which was first used in local radiation injury (LRI).
Material and methods: clinical analysis of the case histories of the severe LRI of the hand. The report describes the results of the first autotransplantation of the II toe in the position of the right hand III finger for the restoration of grip function in LRI.
Results: Patient L., 38 years old, was admitted to the A.I. Burnazyan Federal Medical Biophysical Center in 2010 for the treatment of late consequences of severe LRI of the right hand resulting from contact with a gamma radiation source (Ir 192) in 2008. In the period from 2010 to 2018, the patient underwent repeated surgical operations, including reconstructive plastic surgery, which made it possible to achieve healing of constantly recurring late radiation ulcers. However, multiple necrectomies, exarticulations, finger amputations and resections of the phalanges led to the formation of a functionally defective hand and persistent disability of the patient. In 2018, the patient was admitted to the clinic for reconstructive surgery to restore the function of hand grip - microsurgical transplantation of the II toe into the position of the III finger of the hand. As a result of the treatment, the function of grabbing objects with the right hand was restored, and the patient’s ability to work was largely restored.
Conclusions: The obtained long-term functional and aesthetic results allow us to consider the applied method of fingerless hand reconstruction by autotransplantation of the toe with the imposition of microvascular anastomoses optimal. It is advisable to use this type of surgical treatment more widely for the rehabilitation of patients with severe and extremely severe hand LRI.
Keywords: local radiation injury, hand, reconstructive plastic surgery, toe, autotransplantation
For citation: Aksenenko AV, Samoilov AS, Parinov OV, Bushmanov AYu, Galstyan IA, Zavialov AA, Zimnikov GE, Kolyadin SG, Trofimenko YuG, Stepanyanc NG, Baksiyan GA, Astahov DN, Zugumova MSh. Treatment and Rehabilitation of Professional Local Radiation Injury of the Hand, Using the Method of Transplanting the Toe to the Hand. Medical Radiology and Radiation Safety. 2024;69(6):33–37.
(In Russian). DOI:10.33266/1024-6177-2024-69-6-33-37
References
1. Radiatsionnaya Meditsina = Radiation Medicine. A Guide for Medical Reserchers and Health Care Organizers. 4-vol set. Ed. Ilyin LA. Vol. 2. Radiatsionnyye Porazheniya Cheloveka = Human Radiation Damage. Moscow Publ., 2001. 161 p. (In Russ.).
2. Milanov NO, Shilov BL. Plasticheskaya Khirurgiya Luchevykh Povrezhdeniy = Plastic Surgery Radiation Burns. Moscow, AIR-ART Publ., 1996. 99 p. (In Russ.).
3. Milanov NO, Filippov VV, Zelyanin AS., Nadezhina NM, et al. Microsurgical Autotransplantation of Tissues as a Pathogenetic Method of Treatment of Patients with Local Radiation Injuries. Khirurgiya. Zhurnal im. N.I.Pirogova = Surgery. Journal named after N.I.Pirogov. 2012;8:4-8 (In Russ.).
4. Petrovskiy BV., Krylov VS. Mikrokhirurgiia = Microsurgery. Moscow, Nauka Publ., 1976. 187 p. (In Russ.).
5. Samoylov FS, Bushmanov AY, Galstyan IA, et al. Local Radiolesion in X-Ray Inspection Specialists. Radiatsionnaya Dozimetriya = Radiat Prot Dosimrtry. 2016;171;1:117-120 (In Russ.). DOI: https://doi.org/doi:10:1093/rpd/ncw203 (In Russ.).
6. Cobbett JR. Free Digital Transfer. Report of a Case of Transfer of a Great Toe to Replace an Amputated Thumb. J Bone Joint Surg Br. 1969;51;4:677-679.
7. Chen ZW, Bao YS. Microsurgery in China. Clin Plast Surg. 1980;7;4:437-474.
8. Akchurin RS. Rekonstruktivnaya Mikrokhirurgiya Bespaloy Kisti = Reconstructive Microsurgery of the Fingerless Hand. Extended Abstract of Doctor’s Thesis (Med.). Moscow Publ., 1984. 26 p. (In Russ.).
9. Borovikov AM. Mikrokhirurgicheskaya Autotransplantatsiya v Lechenii Povrezhdeniy Verkhney Konechnosti = Microsurgical Autotransplantation in the Treatment of Upper Limb Injuries. Extended Abstract of Doctor’s Thesis (Med.). Moscow Publ., 1991. 47 p. (In Russ.).
PDF (RUS) Full-text article (in Russian)
Conflict of interest. The authors confirm that their authorship meets the international ICMJE criteria (all authors have made a significant contribution to the development of the concept, research and preparation of the article, read and approved the final version before publication).
Financing. The study had no sponsorship.
Contribution. Article was prepared with equal participation of the authors.
Article received: 20.07.2024. Accepted for publication: 25.09.2024.